NJ Guardians LEFC Sign Up/Registration Form
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First and Last Name *
Date of Birth (mm/dd/yyyy) *
Cell Phone Number: *
What's the best way to contact you?  *
E-mail: *
What agency do you work for?  *
What's your previous soccer experience? *
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Preferred Positions (Check ALL that apply) *
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Comments/Questions/Concerns?
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